Mississippi FY 2020/2021 Substance Abuse and Mental Health Block Grant
This document is the FY 2020/2021 Block Grant Application for Substance Abuse Prevention and Treatment and Community Mental Health Services in Mississippi. It includes state information, contact details, and submission guidelines. It is intended for use by the Mississippi Department of Mental Health and related entities.
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How do I fill this out?
To fill out this form, you'll need to provide detailed information about your organization's substance abuse prevention and treatment programs, as well as community mental health services. Be sure to include accurate state information and contact details. Follow the provided instructions carefully to ensure proper submission.
How to fill out the Mississippi FY 2020/2021 Substance Abuse and Mental Health Block Grant?
1
Provide state information including plan year and DUNS number.
2
Enter detailed information for the SAPT Grantee and contact person.
3
Enter detailed information for the CMHS Grantee and contact person.
4
Indicate whether a third party administrator is used and provide details.
5
Submit the form by the specified submission date.
Who needs the Mississippi FY 2020/2021 Substance Abuse and Mental Health Block Grant?
1
State agencies responsible for substance abuse prevention and treatment.
2
Community mental health service providers seeking block grant funding.
3
Administrators managing mental health services and grant applications.
4
Organizations needing to comply with federal grant reporting requirements.
5
Entities looking to apply for state and community assistance funding.
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What are the instructions for submitting this form?
To submit this form, you need to provide all required state information, contact details, and third-party administrator information. The completed form can be sent via email to jake.hutchins@dmh.ms.gov, or faxed to (601) 359-6295. You can also mail it to the Mississippi Department of Mental Health, 239 North Lamar St, 1101 Robert E. Lee Bldg., Suite 1001, Jackson, MS 39201. Ensure all sections are complete and accurate before submission to avoid any delays in processing. It is advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Plan Year: Start Year 2024, End Year 2025. Submission Date: To be provided closer to the relevant fiscal year.
What is the purpose of this form?
The purpose of this form is to facilitate the application process for the Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grant in Mississippi. By completing and submitting this application, organizations can secure funding to support their substance abuse prevention and community mental health service programs. This form ensures that all required information is gathered efficiently and accurately, meeting federal and state guidelines for grant applications.
Tell me about this form and its components and fields line-by-line.
- 1. State Information: Includes plan year, start year, end year, state SAPT and CMHS DUNS numbers, expiration dates, and agency details.
- 2. Contact Person for SAPT Grantee: Details include the first name, last name, agency name, mailing address, city, zip code, telephone, fax, and email address of the contact person.
- 3. Contact Person for CMHS Grantee: Details include the first name, last name, agency name, mailing address, city, zip code, telephone, fax, and email address of the contact person.
- 4. Third Party Administrator of Mental Health Services: Indicates whether a third party administrator is used and requires details such as name, agency name, mailing address, telephone, fax, and email.
- 5. Submission Information: Includes the most recent state expenditure period, submission date, revision date, and the contact person responsible for submission.
What happens if I fail to submit this form?
Failure to submit this form can lead to delays or rejection of grant funding. It is crucial to adhere to submission guidelines to ensure timely processing.
- Funding Delays: Submitting late or incomplete forms can cause delays in receiving essential funding.
- Denial of Funds: Failure to submit may result in denial of grant funding, affecting program operations.
- Non-Compliance: Not submitting the form may lead to non-compliance with federal and state grant requirements.
How do I know when to use this form?
- 1. Grant Application: To apply for funding for substance abuse prevention and treatment programs.
- 2. Compliance Reporting: To ensure compliance with state and federal reporting requirements.
- 3. Funding Renewal: For renewing existing grants for ongoing mental health services and prevention programs.
- 4. Program Support: To secure financial support for new and existing community programs.
- 5. Administrative Records: To maintain accurate administrative records for funding and services provided.
Frequently Asked Questions
What is the purpose of this file?
This file is used to apply for block grant funding for substance abuse prevention and treatment and community mental health services in Mississippi.
How can I fill out this form?
You can fill out this form by providing detailed state information, contact details, and third-party administrator information directly on the PDF.
Who needs to use this form?
State agencies, community mental health service providers, and administrators managing grant applications need to use this form.
How can I edit this PDF?
You can edit this PDF using PrintFriendly's built-in PDF editor to make changes and update information.
Can I sign this PDF on PrintFriendly?
Yes, you can use PrintFriendly's PDF editor to add your signature to the document.
How do I share the completed PDF?
After editing and signing, you can share the PDF via email or a shareable link using PrintFriendly.
What information is required in this form?
The form requires state information, contact details, and information about third-party administrators, if applicable.
What happens if I fail to submit this form?
Failing to submit this form can result in delays or denial of grant funding for your organization's programs.
What are the important dates for this form?
Important dates include the plan year start and end dates, submission date, and any revision dates.
How do I contact the responsible person for the application submission?
You can contact Jake Hutchins at the Mississippi Department of Mental Health via email at jake.hutchins@dmh.ms.gov or phone at (601) 359-1288.
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